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MEDEXPRESS URGENT CARE PC - VIRGINIA NPI 1275074353


NPI Information

NPI: 1275074353
Provider Name: MEDEXPRESS URGENT CARE, PC - VIRGINIA

Doing Business As: MEDEXPRESS URGENT CARE - MARTINSVILLE, W COMMONWEALTH BLVD

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 49D2128421

Address:
105 COMMONWEALTH BLVD W
MARTINSVILLE, VA
ZIP 24112
Phone: (276) 666-5000
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MEDEXPRESS URGENT CARE, PC - VIRGINIA is an urgent care clinic center in Martinsville, VA. MEDEXPRESS URGENT CARE, PC - VIRGINIA NPI is 1275074353. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Martinsville, W Commonwealth Blvd.

The provider's business location address is:

105 COMMONWEALTH BLVD W
MARTINSVILLE, VA
ZIP 24112-806
Phone: (276) 666-5000
Fax: (276) 666-5912

The provider's authorized official is Brett Gall .
The authorized official title is Director Payor Contracting and has the following contact phone number (304) 225-2500.

The CLIA number assigned to this NPI record is 49D2128421 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineNo
2261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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